FOUR STATE REGIONAL DIALYSIS CENTER INC. NPI 1407958697

NPI Information

FOUR STATE REGIONAL DIALYSIS CENTER, INC. is an end-stage renal disease (esrd) treatment clinic center in Joplin, MO. FOUR STATE REGIONAL DIALYSIS CENTER, INC. NPI is 1407958697. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Medical Care Joplin East.

The provider's business location address is:

522 W 32ND ST STE 2
JOPLIN, MO
ZIP 64804-533
Phone: (417) 782-4055
Fax: (417) 782-3675

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 26D0913144 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 10/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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